CAJ | 학술논문

目的：探讨双锁定钢板多平面固定技术在长骨干骺端关节面重度粉碎性骨折重建的作用原理及临床疗效。方法从2011年1月～2014年4月对31例四肢长骨干骺端关节面重度粉碎性骨折的患者采用双锁定钢板多平面固定技术治疗。结果本组共31例，获术后随访29例，所有骨折均如期愈合，上肢为8～12周，下肢为10～20周，术后复查X线片，示骨折复位及内固定良好，关节面平整，无迟发性畸形发生，无骨感染及伤口感染发生，伤肢及关节功能恢复满意。结论双锁定钢板多平面固定技术具有固定可靠，可以早期活动，骨折愈合率高，关节功能恢复良好等优点，是治疗长骨干骺端关节面重度粉碎性骨折的理想方法，可以预期取得较好的临床效果。
목적：탐토쌍쇄정강판다평면고정기술재장골간후단관절면중도분쇄성골절중건적작용원리급림상료효。방법종2011년1월～2014년4월대31례사지장골간후단관절면중도분쇄성골절적환자채용쌍쇄정강판다평면고정기술치료。결과본조공31례，획술후수방29례，소유골절균여기유합，상지위8～12주，하지위10～20주，술후복사X선편，시골절복위급내고정량호，관절면평정，무지발성기형발생，무골감염급상구감염발생，상지급관절공능회복만의。결론쌍쇄정강판다평면고정기술구유고정가고，가이조기활동，골절유합솔고，관절공능회복량호등우점，시치료장골간후단관절면중도분쇄성골절적이상방법，가이예기취득교호적림상효과。
Objective To study the action principle and clinical effect of multiplanar fixation technique of hibateral locking plate in reconstruction of serious comminuted fracture of metaphysis articular surface of long bone. Methods 31 patients with serious comminuted fracture of metaphysis articular surface of limb long bone were treated with multiplanar fixation technique of hibateral locking plate from January 2011 to April 2014. Results Of the 31 cases,there were 29 cases,who were postoperative follow-up,were healing as schedule with upper limb in 8 ~ 12 weeks and lower extremity in 10~20 weeks.X-ray Film of postoperative reexamined showed that,there were good of fracture reduction and internal fixation with smooth articular surface,without tardive malformation,bone infection,and wound infection,and were satisfactory recovery in injured limbs and joints function. Conclusion Multiplanar fixation technique of hibateral locking plate has the merit of reliable fixation,early mobilization,higher fracture healing rate,and better recovery of joints function and so on,is ideal method to treat serious comminuted fracture of metaphysis articular surface of long bone,could expectantly acquire better clinical effect.